NR 506 Week 3 Discussion:

NR 439 Week 3 Discussion: The Literature Review and Searching for Evidence (graded)

NR 439 Week 3 Discussion: The Literature Review and Searching for Evidence (graded)

You have provided an in-depth analysis of Boyle’s (2020) article, and there is a lot to learn from your discussion regarding a literature review. In the literature review section, Boyle (2020) discusses the various ways nurses can improve their competence, and the issue of educational courses forms a significant portion. Attending educational courses is mentioned as one way that nurses can earn new knowledge regarding practice. However, it is crucial to review literature in-depth to ensure that a researcher’s information is relevant to the topic in context. Accordingly, Di Leonardi et al. (2020) further explored educational sessions and suggested that they have some shortcomings, and nurses should opt for more comprehensive programs. As you have also noted, Di Leonardi et al. (2020) found that nurses may not retain the information obtained from educational courses and should consider certification and recertification. 

It is interesting to learn that simulations did not qualify as a means of evaluating continued competence. In many cases, simulations are highly rated and bringing such a point in the article was thought-provoking. Always, it is crucial to create a strong literature review section. I like your suggestion that examining the level of evidence is vital, and research studies should depend on the level I evidence as much as possible. The literature review is primarily a summary of a study’s key findings. However, a summary of sources may not meet the threshold of a strong literature review section. As demonstrated in Boyle’s (2020) article, one characteristic of a strong literature review section is evidence varying form interpreting other sources, data, and illustrations current and relevant to the topic and practice.  The literature review should be selective, implying that it should contain crucial information only.  

References 

Boyle, D. K. (2020). CMSRNs’ Continuing Competence Methods and Perceived Value of Certification: A Descriptive Study. Medsurg Nursing, 29(4), 229-254. 

Di Leonardi, B. C., Hagler, D., Marshall, D. R., Stobinski, J. X., & Welsh, S. S. (2020). From competence to continuing competency. The Journal of Continuing Education in Nursing, 51(1), 15-24. https://doi.org/10.3928/00220124-20191217-05 

NR 439 Week 3 Discussion: The Literature Review and Searching for Evidence (graded)

Purpose 

This week’s graded topics relate to the following Course Outcomes (COs). 

  • CO 1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7) 
  • CO 2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8) 
  • CO 4: Evaluate published nursing research for credibility and clinical significance related to evidence-based practice. (POs 4 & 8) 

Due Date 

  • During the assigned week (Sunday the start of the assigned week through Sunday the end of the assigned week): 
  • Posts in the discussion at least two times, and 
  • Posts in the discussion on two different days 

Points Possible 

50 points 

Directions 

  • Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students: 
  • Demonstrate understanding of concepts for the week 
  • Integrate outside scholarly sources when required 
  • Engage in meaningful dialogue with classmates and/or instructor 
  • Express opinions clearly and logically, in a professional manner 
  • Use the rubric on this page as you compose your answers. 
  • Best Practices include: 
  • Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor. 
  • Enter the discussion often during the week to read and learn from posts. 
  • Select different classmates for your reply each week. 

Discussion Questions 

 You must access the following article to answer the questions: 

Boyle, D. K. (2020). CMSRNs’ continuing competence methods and perceived value of certification: A descriptive study. MEDSURG Nursing, 29(4), 229-254. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=145282314&site=eds-live&scope=siteLinks to an external site. 

  1. Locate the literature review section. Summarize using your own words from one of the study/literature findings. Be sure to identify which study you are summarizing. 
  1. Discuss how the author’s review of literature (studies) supported the research purpose/problem. Share something that was interesting to you as you read through the literature review section. 
  1. Describe one strategy that you learned that would help you create a strong literature review/search for evidence. Share your thoughts on the importance of a thorough review of the literature. 

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Grading 

To view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the discussion board title and then Show Rubric. See Syllabus for Grading Rubric Definitions. 

This topic is closed for comments. 

The first question asks you to 

  • Locate the literature review section. Summarize using your own words from one of the study/literature findings. Be sure to identify which study you are summarizing. 

To clarify, you are not supposed to summarize the findings from THIS study – you are supposed to summarize one of the study findings from within the literature review, and make sure to identify which you are summarizing. 

The second question asks you to “Discuss how the author’s review of literature (studies) supported the research purpose/problem.” (This means how did Boyle & Thompson’s review of the literature support Boyle & Thompson’s research purpose/question.) 

In order to answer the third question, I strongly suggest that you read the required readings in Houser this week.  You really won’t be able to answer the questions without doing so. 

There was a slight error in the discussion questions.  The correct reference for the article for this week should be: 

Boyle, D. K. , & Thompson, S. A. (2020). CMSRNs’ continuing competence methods and perceived value of certification: A descriptive study. MEDSURG Nursing, 29(4), 229-254. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=145282314&site=eds-live&scope=siteLinks to an external site. 

Also, a reminder that your week 3 assignment is due this week.  Remember to put the actual PICOT letters into the question.  Also remember that not only your topic but also your INTERVENTION must be an independent nursing function. 

 

  1. Literature review and summarize by using my own words. 

After Conducting a large-number survey, The American Board of Nursing Specialties (ABNS) summarized three top facilitators and barriers of obtaining and maintaining nursing certification (Niebuhr & Biel, 2007). 

The top three facilitators are: 

  1. Reimbursement for exam fees 
  2. Renewal fees 
  3. Continuing education 

 The top three barriers are: 

  1. Cost of the exam 
  2. Lack of institutional support 
  3. Lack of time and materials preparing for the exam 

 

 

  1. Discuss how the author’s review of studies supported the research problem. Share something that was interesting to me as I read through the literature review section. 

Boyle uses Niebuhr’s quantitative study “The value of specialty nursing certification” to support her subject matter. Niebuhr’s survey was done on 8,615 certified nurses from 20 ABNS member organizations (Boyle, 2020). Boyle use Niebuhr’s large-sample study to support her theme. The quantitative study gathers information and analyze the data. The study has no report for response percentages. This type of study is attempting to understand the phenomena (Houser, 2018). I was surprised to the fact that lack of institutional support is one of the top three barriers. I have been working in three different medical organizations, and most of my friends are in nursing field. This has never been a barrier for us. 

 

  1. Describe one strategy that I learned that would help me create a strong literature review/research for evidence. Share my thoughts on the importance of a thorough review of the literature. 

One strategy I learned that would help me to create a strong literature review/research for evidence is the following. When conducting research, use standard designs, methods, and procedure whenever possible (Houser, 2018). I have also learned to follow steps when evaluating the quality of a research report, and the importance of utilizing trusted unbiased literature to support my research (Houser, 2018). I should use the most recent application literatures as possible. It will help me saving time and having a higher start point. It is also very importance to focus on the research topic and to know designed audiences for the study results. I have learned that besides primary resource information, such as clinical trials; secondary source information, potential search tools that I can trust are CINAHL, MEDLINE/PubMed, PsycINFO, and Cochrane central Register of Controlled trails (Houser, 2018). 

 

 

Reference: 

Boyle, D. K., & Thompson, S. A. (2020). CMSRNs’ continuing competence methods and perceived value of certification: A descriptive study. MEDSURG Nursing, 29(4), 229-254. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=145282314&site=eds-live&scope=siteLinks to an external site. 

Niebuhr, B., & Biel, M. (2007). The value of specialty nursing certification. Nursing Outlook, 55(4), 176-181. 

http://doi.org/10.1016/j.outlook.2007.02.002Links to an external site. 

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones & Bartlett. 

I really enjoyed reading your post this week. I find that this is a very interesting topic because I have found that it can be very expensive to obtain a nursing license. I had to take the NCLEX four times and it cost me over $1,000 between the exam fee and having to pay the nursing board just so that I could re test. It can also be expensive to keep up with our CEU’s, my hospital has fabulous courses that I can take for pediatrics but almost all of them cost money and it all adds up over time.  

Professor and Class, NR 439 Week 3 Discussion: The Literature Review and Searching for Evidence (graded)

       Question 1 

  1. Locate the literature review section  Summarize using your own words from one of the study/literature findings.  Be sure to identify which study you are summarizing. 

I choose to summarize the Research article: Continuing Competencies: There were four categories of literature noted in the study from 2012-2020.  They were Validation, international, and competencies in the disciplines other than nursing.  It was found that some educational sessions that were utilized lacked quality of knowledge, needed.  The study highlighted that professionals might attend cheap and convenient education courses that lacked quality or are not in what particularly necessary in the practice and in greatest need (Boyle2020).  It also stated that participants “may not be to understand, retain, or use the information provided and attendance in the courses does not ensure changes in practice” (Boyle. 2020). 

The review discussed several means of continuing competency    methods through publication and professional presentation, portfolios, and performance formal 360 degree assessment. (Boyle. 2020).  The article mentioned simulations on virtual and actual patients are also accepted but felt there was not enough evidence to support  Simulations were used as means of evaluating competence in credentialing and certifying. 

  Question 2 

 Discuss how the author’s review of literature (studies) supported the research    purpose/problem.  Share something that was interesting to you as you read through the literature review section. 

The research was focused on review of continuing competencies for ensuring certification and credentialing.  The research had four components.  There were 50 or more articles over a time span, so accuracy is evident.  The author quoted Di Leonardi several times.  Di Leonardi was a member of a task force of authors which were sponsored by an organization that has accreditation Board of Specialty Nurse Certification (Leonardi. Et.at. 2019).  “The task force discovered perspectives on continuing competency and found although licensing and credentialing organization addressed the topic thoroughly, little attention has be devoted to the perspectives of individual clinicians, and recipients of clinician services”.  (Leonardi. Et.al 2019). 

It was stated by the members of the task force that conducted the study Boyle had did a successful job at contributing research to her review of the studies done by Di Leonardi to address continuing competence by quoting the researcher several times which supported the review.  I found it interesting that the literature review section for continuing competencies didn’t give much merit to using simulation for evaluation  I worked in a    .facility which we had quarterly mock simulation and codes.  It was called over the P.A. system, all necessary departments responded.  We would go the full drill as if it were a real code, then have a debriefing to discuss what could be improved..  This involved nursing, doctors, anesthesia, lab and the house supervisor etc.  I found it quite useful and informative. 

Question 3 

Describe one strategy that you learned that would help you create a strong literature review research for evidence.  Share your thoughts on the importance of a though review of literature. 

The strategy tatt I learned and will adopt is using as much research literature that is available for your Evidence Based research.  Get yourself comfortable with the process, be through in your search don’t be uncomfortable about asking for help.  Don’t try to reinvent the wheel. 

Reference 

Boyle, D. K. & Thompson, S. A. (2020). CMSRNs’ continuing competence methods and perceived value of certification: A descriptive study. MEDSURG Nursing, 29(4), 229-254. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=145282314&site=eds-live&scope=siteLinks to an external site. 

 Leonardi, B., Search for more papers by this author, Hagler, D., Marshall, D., Stobinski, J., & Welsh, S. (2019, December 17). From competence to continuing competency. Retrieved March 16, 2021, from https://journals.healio.com/doi/10.3928/00220124-20191217-05Links to an external site. egy tatt I learned and will adopt is using as much research literature that is available for your Evidence Based research.” 

While it is great to have a lot of research literature, too MUCH literature can be overwhelming.  You need to have a plan to narrow down your search.  What strategy or strategies would you use to help you narrow down a search rlated to your topic? 

You said, “I have also learned to follow steps when evaluating the quality of a research report, and the importance of utilizing trusted unbiased literature to support my research” 

See my response to Jamie about a good resource that helps you to determine if a source is scholarly. NR 439 Week 3 Discussion: The Literature Review and Searching for Evidence (graded)

Great discussion – thanks for sharing with the class! I am not at all surprised at the lack of institutional support.  Usually at most facilities, the nurse has to get approval before the certification courses.  Once approved the course is taken, a certificate is issued a copy has to be turned in to the HR department for approval.  There is usually a maximum amount of 1000-1500 per year.  This is a drop in the bucket to me.  Especially, when you’re doing advance degree programs and certifications. 

I found your post very interesting to read. I agree that obtaining a a nursing license is very expensive not only do you pay for school but then you have to pay a fee to obtain a license after spending tons of money on school. Also the exam preparations are super expensive I studied through uworld to prepare for nclex and that cost an arm and a leg also! Where I work they push for you to obtain certifications and further education I have never had a lack of institutional support in anything I have done in regards to my education. “The current lack of nursing students does not stem from a disinterested generation, but rather from a lack of funding and educational resources to accommodate qualified applicants” (Monster, 2019). I found this interesting to read. Thanks again for the great post! 

 

Reference: 

Monster. (2019). The Nursing Shortage Isn’t Due to Lack of Interest. Monster Career Advice. https://www.monster.com/career-advice/article/nursing-shortageLinks to an external site. 

It is also so expensive to maintain certifications. For Oncology you have to have 100 ceus and join the oncology certification also costs money. For Infusion nursing you have to go to their conferences to get your units and it usually out of town. Employers have stopped giving money for nurses to go to conferences. 

  1. A current, active, unencumbered license as a registered nurse in the US, its territories or Canada at the time of… 
  1. A minimum of two years (24 months) of experience as an RN within the four years (48 months) prior to application, and 
  1. A minimum of 2,000 hours of adult oncology nursing practice within the four years (48… 

Oncology Certified Nurse (OCN®) | ONCCLinks to an external site. 

 

www.oncc.org/certifications/oncology-certified-nur 

 

I will be the first to say that I am not sure if I’m fully understanding this week’s discussion topic, but nonetheless, here we go… 

The value for why a nurse would obtain a certification, whether it be personal or professional, is dependent upon the individual.  Generally speaking, the validation and formal recognition of a nurse’s knowledge, skills, and abilities are enhanced when a nurse obtains a certification in a specialized area.  In the article, CMSRNs’ continuing competence methods and perceived value of certification: A descriptive study, by Boyle & Thompson (2020), studies were conducted by several different review boards using the Perceived Value of Certification Tool (PVCT) to determine if obtaining a certification was done by a nurse for the: 1) intrinsic/extrinsic reward, and/or 2) personal/professional incentive.  

According to Boyle & Thompson (2020), the PVCT study that was done by several systematic review boards ranked 12 intrinsic value statements and 6 extrinsic value statements.  A combination of both personal and professional reasons as to why certification was valued was intertwined within the intrinsic/extrinsic ranks.  This is particularly interesting to me because I have the CVRN-BC certification…and I can say that all of the values listed, whether it is intrinsic or extrinsic, personal or professional, are absolutely all the reasons why I value my certification.  Obtaining my certification was such a challenge for me because it came at a time when I was questioning my knowledge, abilities, and skills as a nurse.  The personal feelings of accomplishment and satisfaction I felt when I passed the exam was done more so to prove to myself and my coworkers that I do possess the knowledge and skills it takes to work in such a fast-paced, high-stress area. 

That all being said, the article seemed rather limited on the information of the actual PVCT used by all of the review boards.  As stated in prior discussion, research is only one aspect of evidence-based practice (EBP).  EBP requires looking at a situation from multiple facets within a community.  One of the strategies that our textbook mentions for creating a strong literature review/search for evidence would be the selection of resources from a comprehensive database (Houser, 2018).  Using a comprehensive database, such as CINAHL, to search more on how PVCT can go beyond nursing and into other realms of healthcare would be beneficial to everyone.       

References: 

Boyle, D. K. & Thompson, S. A. (2020). CMSRNs’ continuing competence methods and perceived value of certification: A descriptive study. MEDSURG Nursing, 29(4), 229-254. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=145282314&site=eds-live&scope=siteLinks to an external site. 

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones & Bartlett.